Evidence map›Paper›PMID 36964424›Full record

ArticleJournal of general internal medicine2023

Long-Term Prospects for Telemedicine in Opioid Use Disorder (OUD) Treatment: Results from a Longitudinal Survey of OUD Clinicians.

Haiden A Huskamp, Lauren Riedel, Isabella Campa, Alisa B Busch, Sherri Rose, Ateev Mehrotra, Lori Uscher-Pines

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Comparison of buprenorphine treatment by virtual-only vs. traditional clinicians.Journal of substance use and addiction treatment · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Haiden A HuskampDepartment of Health Care Policy, Harvard Medical School, 180A Longwood Avenue, Boston, MA, 02115, USA. Huskamp@hcp.med.harvard.edu.
Lauren RiedelDepartment of Health Care Policy, Harvard Medical School, 180A Longwood Avenue, Boston, MA, 02115, USA.
Isabella CampaUniversity of California San Diego, San Diego, CA, USA.
Alisa B BuschDepartment of Health Care Policy, Harvard Medical School, 180A Longwood Avenue, Boston, MA, 02115, USA.
Sherri RoseStanford University, Stanford, CA, USA.
Ateev MehrotraDepartment of Health Care Policy, Harvard Medical School, 180A Longwood Avenue, Boston, MA, 02115, USA.
Lori Uscher-PinesRAND Corporation, Arlington, VA, USA.
Harvard University · USMcLean Hospital · USRAND Corporation · USStanford University · USUniversity of California, San Diego · US

Funding

Research Support CoreP30DA035772 · NIDA · BRANDEIS UNIVERSITY · PI Haiden A Huskamp, SHARON REIF · 2015 to 2026
$11.3M
Telemedicine for Treatment of Opioid Use Disorder: NIDA Summer Research Internship ProgramR01DA048533 · NIDA · HARVARD MEDICAL SCHOOL · PI Haiden A Huskamp, Ateev Mehrotra · 2019 to 2026
$5.6M
NIDA NIH HHS P30 DA035772NIDA NIH HHS R01 DA048533
6 · The paper itself

Abstract

backgroundDuring the pandemic, there was a dramatic shift to telemedicine for opioid use disorder (OUD) treatment. Little is known about how clinician attitudes about telemedicine use for OUD treatment are evolving or their preferences for future use.

objectiveTo understand OUD clinician views of and preferences regarding telemedicine.

designLongitudinal survey (wave 1, December 2020; wave 2, March 2022). SUBJECTS: National sample of 425 clinicians who treat OUD. MAIN MEASURES: Self-reported proportion of OUD visits delivered via telemedicine (actual vs. preferred), comfort in using video visits for OUD, impact of telemedicine on work-related well-being. KEY

resultsThe mean reported percentage of OUD visits delivered via telemedicine (vs. in person) dropped from 56.9% in December 2020 to 41.5% in March 2022; the mean preferred post-pandemic percentage of OUD visits delivered via telemedicine was 34.8%. Responses about comfort in using video visits for different types of OUD patients remained similar over time despite clinicians having substantially more experience with telemedicine by spring 2022 (e.g., 35.8% vs. 36.0% report being comfortable using video visits for new patients). Almost three-quarters (70.9%) reported that most of their patients preferred to have the majority of their visits via telemedicine, and 76.7% agreed that the option to do video visits helped their patients remain in treatment longer. The majority (58.7%) reported that telemedicine had a positive impact on their work-related well-being, with higher rates of a positive impact among those who completed training more recently (68.5% of those with < 10 years, 62.1% with 10-19 years, and 45.8% with 20 + years, p < 0.001).

conclusionsWhile many surveyed OUD clinicians were not comfortable using telemedicine for all types of patients, most wanted telemedicine to account for a substantial fraction of OUD visits, and most believed telemedicine has had positive impacts for themselves and their patients.

Indexed as

Opioid-Related DisordersTelemedicineHumansLongitudinal StudiesOpiate Substitution TreatmentSurveys and Questionnairesopioid use disorderssubstance use disorders.telemedicine

Identifiers

PMID36964424
PMCPMC10038362
OpenAlexW4360829895

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.